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All Journal International Journal of Health, Engineering and Technology Quantum Wellness : Jurnal Ilmu Kesehatan
Bramita Beta Arnanda
Universitas Muhammadiyah Surakarta
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Dentistry Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Effectiveness Of Finger Appliance Combined With A Z-Spring In The Management Of Maxillary Multiple Diastema And Midline Shift: A Case Report Annisa Rachmah Afrizal; Bramita Beta Arnanda
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.977

Abstract

Malocclusion can affect both oral aesthetics and function, one manifestation of which is multiple diastema, defined as spaces between two or more adjacent teeth. This condition is often accompanied by a maxillary midline deviation, which may compromise dental aesthetics and occlusal harmony. The management of multiple diastema requires a multidisciplinary approach aimed at closing interdental spaces, correcting midline deviation, and eliminating etiological factors. Removable orthodontic appliances may serve as a viable treatment option because they are simple, easy to fabricate, and more cost-effective than fixed appliances. This case report aims to describe the management of maxillary multiple diastema associated with midline deviation using a removable orthodontic appliance in the form of an active plate. A 24-year-old female patient presented with spacing between the anterior teeth of the maxillary arch. Clinical examination and supporting analyses revealed a skeletal Class III relationship with a maxillary arch excess space of 1.6 mm. The treatment plan focused on the closure of multiple diastema and correction of the maxillary midline deviation using an active plate. Periodic activation of the appliance was performed to achieve tooth movement for space closure and midline correction. Evaluation after three months of treatment demonstrated successful closure of the multiple diastema and improvement of the maxillary midline while maintaining normal occlusal relationships. This case report concludes that removable orthodontic treatment using an active plate is effective for diastema closure and midline correction in selected mild-to-moderate cases, particularly in cooperative adult patients.
Koreksi Malposisi Gigi Insisivus Rahang Bawah dengan Menggunakan Alat Orthodontic Lepasan Anastasia Mayang Cahyani; Bramita Beta Arnanda
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3200

Abstract

Introduction: Malocclusion is an abnormal alignment of the teeth and an improper relationship between the maxillary and mandibular teeth in centric occlusion, which may affect mastication, speech, swallowing, and facial esthetics. Removable orthodontic appliances are commonly used for mild to moderate malocclusion cases, although treatment success greatly depends on patient compliance. Objective: This case report aims to describe the management of removable orthodontic treatment in correcting mandibular anterior tooth malposition. Case Report: A 24-year-old female patient presented to Soelastri Dental Hospital, Surakarta, with a complaint of crowded lower anterior teeth causing food impaction and reduced self-confidence. Clinical examination revealed Angle Class I malocclusion modified by Dewey type 1 with skeletal Class I relationship, spacing between teeth 23–24 and 24–25, and individual tooth malpositions, particularly in the mandibular anterior region. Case Management: Treatment was performed using maxillary and mandibular removable orthodontic appliances with continuous spring, finger spring, selective grinding, and periodic activations over five control visits. Discussion: Improvement in the alignment of the four mandibular incisors was observed through orthodontic tooth movement and alveolar bone remodeling. However, the correction was not fully optimal due to inadequate patient compliance in wearing the appliance. Conclusion: Removable orthodontic appliances are effective for mild to moderate malposition correction when used consistently and accompanied by regular follow-up visits.Conclusion: Improvement in tooth malposition was observed, although the result was not yet optimal, most likely due to inadequate patient compliance in wearing the appliance.
Co-Authors Anastasia Mayang Cahyani Annisa Rachmah Afrizal